Baldwin, Mary

Baldwin, Mary was paid $167K by Medicaid between Jan 2018 and Aug 2022, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoBALDWIN, MARY
DUNLAP, TN 37327

33aNPI1528021482assigned 04/10/2006

33bProvider typeFamily Medicine Physician

28Total paid$167K

24GClaims6,304

24DCodes billed18

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#183 of 754

Median peer was paid$34K

This provider vs. median4.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,967	$50K
2019	2,096	$54K
2020	1,182	$33K
2021	750	$23K
2022	309	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	53%	1,932	1,671	$89K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	1,902	1,622	$64K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.1%	386	310	$3K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.7%	144	120	$3K
96127		1.7%	596	512	$3K
36415	Collection of venous blood by venipuncture	<1%	894	773	$1K
90674		<1%	65	50	$863.69
3008F		<1%	106	71	$830.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	32	31	$808.45
99406		<1%	74	55	$342.50
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	58	41	$258.46
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	18	14	$217.53

6 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	30	$184.19
90686		<1%	13	$140.86
90756		<1%	12	$120.55
81002		<1%	14	$35.86
96160		<1%	12	$4.36
G0008	Administration of influenza virus vaccine	0%	16	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.